| NPI | 1992134753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9292097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9292097) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 5555) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2022-09-19 |